Kornmesser Optometry Clinic Inc Ps.
NPI 1649403122ActiveOrganization· Optometrist· Shelton, WA
Optometrist in Shelton, Washington, registered in NPPES in August 2009. The authorized official on file is Merrieann Godding, Manager.
Overview
| NPI | 1649403122 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2009 |
| Last updated in NPPES | Mar 18, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 09-0000870 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Optometrist providers in Shelton
- 1730362435
- 1780933945
- 1720133374
- 1033103221
- 1679838874
- 1952926636